Jon Kevin Taylor, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002244 Issued in WA

Practice address

1822 Black Lake Blvd SW Ste 103
Northwest Chiropractic Center
Olympia, WA 98512-5628

Phone

(360) 943-0988

Fax

(360) 943-8021

NPI assigned

Feb 23, 2007

Last updated

Dec 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovative Sleep Centers PLLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Tumwater, WA
  • NPI 1083925168
  NPD (past)
• MC3 Enterprises LLC

  • Chiropractor
  • Olympia, WA
  • NPI 1740804830
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1154456424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 BLACK LAKE BLVD SW STE 103",
            "address_2": "NORTHWEST CHIROPRACTIC CENTER",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125628",
            "telephone_number": "360-943-0988",
            "fax_number": "360-943-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 BLACK LAKE BLVD SW STE 103",
            "address_2": "NORTHWEST CHIROPRACTIC CENTER",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125628",
            "telephone_number": "360-943-0988",
            "fax_number": "360-943-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JON",
        "middle_name": "KEVIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "4881",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIM",
            "identifier": "8921637",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny-Rebecca Faith Tavis, PHARMD
• Taylor Ferry Psychotherapy, PLLC
• Amber Taylor, LMT
• Andrew Robert Taylor, M.D.
• Douglas Wayne Taylor, M.D.
• Kalayah Madison Taylor
• Kathryn Nicole Taylor
• Kaylene Marie Taylor
• Lawrence Arnold Taylor
• Paul D Taylor, P.A.

• Chiropractor in Olympia, WA
• Providers in Olympia, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.